Archived: Chalcraft Hall Care Home

Updated 17 February 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of two inspectors.

Service and service type

Chalcraft Hall Care Home is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The current provider of the service was in the process of registering with Care Quality Commission as manager of the home. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and we spoke to the local safeguarding team. The provider was not asked to complete a provider information return prior to this inspection. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We used all of this information to plan our inspection.

During the inspection-

We spoke to members of the care staff, the chef and the provider.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, staff records, audit plans and staff rotas. We spoke to five relatives of people who use the service and five staff.

Updated 17 February 2021

About the service

Chalcraft Hall Care Home is a residential care home providing personal care to 19 people aged 65 and over at the time of the inspection. The service can support up to 20 people.

Chalcraft Hall Care Home accommodates people in one building, there are two wings to the service and the home is on two floors. People at the home have access to a shared dining room, lounge and garden. The home provides specialist care for people with dementia.

People's experience of using this service and what we found

At the previous inspection documentation to ensure people were kept safe was sometimes incorrect or incomplete, at this inspection this documentation had been corrected. The provider had reviewed procedures and audits at the service and had plans to carry out more frequent audits to reduce risk to people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported best practice.

People were offered activities which were hosted by a dedicated activities coordinator. People were able to choose their entertainment and we saw people colouring, reading, knitting and playing team games involving throwing beanbags and rolling balls. There were enough staff to support people, and when staff had time between tasks we saw them sit and interact with people.

New electronic care plans had been introduced enabling staff to access detailed person centred information easily during the day via handheld devices. During the transfer, the care plans were reviewed, and the ease of access meant staff could update them in real time. Most staff knew people well, and new or agency staff were able to read the care plans during their initial shadowing shifts.

People were happy and active. We saw friendly interaction with staff. People told us they liked the food at the home. We saw people enjoying well presented meals and being assisted by staff in polite and dignified ways.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 13 November 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an announced focused inspection of this service on 17 September 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve Need for Consent and Good Governance.

We undertook this focused inspection to check they had followed their action plan to improve Need for Consent and Good Governance, and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has improved to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Chalcraft Hall Care Home on our website at www.cqc.org.uk.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

Follow up.

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.